Individual
MR. MICHAEL JOHN CARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW LICSW
Contact information
Practice address
9075 QUADAY AVE NE, SUITE 102, OTSEGO, MN 55330-6672
(763) 746-9492
(763) 746-3685
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7229
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
536557100
—
MN
Enumeration date
07/10/2006
Last updated
06/17/2008
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